Organization
ADL@HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTINA J LEE (OWNER)
(934) 235-7554
Entity
Organization
Contact information
Practice address
67 DIANA DR, MASTIC BEACH, NY 11951-6308
(934) 235-7554
Mailing address
67 DIANA DR, MASTIC BEACH, NY 11951-6308
(934) 235-7554
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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